title: Digital storage phosphor imaging versus conventional film radiography in CT-documented chest disease.
abstract: The advantages of imaging the chest with digital storage phosphor radiography (SR) may be nullified by its spatial resolution, which is lower than that of conventional film radiography (FR). To test the reader detection performance with the two modalities under clinical conditions, the authors compared 140-kVp isoexposure SR (system resolution: 0.2 mm, 10 bits) and FR images of a variety of chest abnormalities proved by computed tomography (CT) (157 patients, 244 abnormalities, 5,652 observations, six readers). In all tests, SR was as good as or better than FR (P less than .05). In overall detection, indicated by the average area of receiver operating characteristics, SR and FR were equivalent. SR was superior for mediastinal lesions and for pulmonary opacities greater than 2 cm in diameter. For all other types of pulmonary lesions and pleural abnormalities, SR and FR were equivalent. Currently available commercial SR systems can replace film radiographic systems in the detection of a wide variety of chest lesions. SR is likely to enable better visualization than FR in the detection of mediastinal and large pulmonary abnormalities.
authors.affiliation: Department of Radiology, Massachusetts General Hospital, Boston.
authors.forename: C M
authors.initials: CM
authors.lastname: Schaefer
authors.forename: R
authors.initials: R
authors.lastname: Greene
authors.forename: J W
authors.initials: JW
authors.lastname: Oestmann
authors.forename: D A
authors.initials: DA
authors.lastname: Hall
authors.forename: H J
authors.initials: HJ
authors.lastname: Llewellyn
authors.forename: K A
authors.initials: KA
authors.lastname: McCarthy
authors.forename: E R
authors.initials: ER
authors.lastname: Pile-Spellman
authors.forename: J R
authors.initials: JR
authors.lastname: Rubens
mesh_terms: D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging*; D008875:Middle Aged; D010995:Pleural Diseases / Q000000981:diagnostic imaging*; D012372:ROC Curve; D011856:Radiographic Image Enhancement; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed